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A client with a hearing impairment is being cared for by a nurse. Which of the following actions should the nurse take when speaking with the client?
- A. Speak in a high-pitched voice.
- B. Exaggerate lip movements.
- C. Face the client when speaking.
- D. Use a monotone voice.
Correct Answer: C
Rationale: When caring for a client with a hearing impairment, it is important for the nurse to face the client when speaking. By facing the client, the nurse allows the individual to read lips and see facial expressions, which can significantly improve communication effectiveness. This approach facilitates better understanding and helps the client feel more connected during interactions.
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The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?
- A. Screening for early detection
- B. Teaching about adhering to a low-sodium diet
- C. Promoting health before diagnosis
- D. Detecting disease early
Correct Answer: B
Rationale: Tertiary prevention occurs post-diagnosis, aiming to reduce disability and optimize function, as with this heart failure client. Teaching about a low-sodium diet helps manage symptoms reducing fluid retention, easing heart strain preventing readmissions by enhancing self-care after treatment. Screening or early detection aligns with secondary prevention, identifying issues before symptoms escalate. Promoting health pre-diagnosis is primary prevention, averting illness onset. Here, the nurse targets rehabilitation, addressing an established condition to minimize complications like edema, common in heart failure's chronic cycle. This education empowers the client, aligning with tertiary care's focus on restoring maximal health, critical in nursing to break readmission patterns and support long-term stability.
Which of the following statement is TRUE about informed consent?
- A. A one time procedure
- B. The nurse can sign for the client
- C. The client needs to understand the procedure
- D. Not needed in emergency cases
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following statement is NOT true about developmental stages?
- A. Based on age only
- B. Includes physical changes
- C. Includes psychosocial changes
- D. Proposed by Erikson
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Caring involves 5 processes, KNOWING, BEING WITH, DOING FOR, ENABLING and MAINTAINING BELIEF.
- A. Benner
- B. Watson
- C. Leininger
- D. Swanson
Correct Answer: D
Rationale: Kristen Swanson's Theory of Caring, from the 1990s, outlines five processes: knowing (understanding the patient's experience), being with (offering presence), doing for (performing tasks patients can't), enabling (empowering self-care), and maintaining belief (instilling hope). Unlike Benner's expertise model, Watson's spiritual focus, or Leininger's cultural lens, Swanson's framework is practical and patient-centered. For instance, a nurse might ‘know' a cancer patient's fears, ‘be with' them during chemo, ‘do for' by administering meds, ‘enable' through education, and ‘maintain belief' by affirming recovery potential. Grounded in empirical research, her theory guides nurses in holistic care, particularly in maternal or end-of-life settings, emphasizing relational depth over technical skill alone.
The nurse only took Mr. Gary's vitals while another gave meds. This is an example of?
- A. Functional nursing
- B. Team nursing
- C. Primary nursing
- D. Health literacy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.